Provider Demographics
NPI:1871793836
Name:JONES, ROBERT THOMAS (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:THOMAS
Last Name:JONES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1020
Mailing Address - Street 2:SALINAS VALLEY STATE PRISON
Mailing Address - City:SOLEDAD
Mailing Address - State:CA
Mailing Address - Zip Code:93960-1020
Mailing Address - Country:US
Mailing Address - Phone:831-678-5595
Mailing Address - Fax:831-678-6273
Practice Address - Street 1:31625 HIGHWAY 101 S
Practice Address - Street 2:SALINAS VALLEY STATE PRISON
Practice Address - City:SOLEDAD
Practice Address - State:CA
Practice Address - Zip Code:93960-9529
Practice Address - Country:US
Practice Address - Phone:831-678-5595
Practice Address - Fax:831-678-6273
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30575122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist